Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03519 | Date 28/12/2022 |
| Token No | SM/22-23/5718 28/12/2022 | Serial | 036 |
| Patient Name | Mrs. REKHA SINGH | Contact No | 9432661135 |
| Address | 38 S K NAGAR PRABASHNAGAR RISHRA M 712249 | Age | 29 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||